Provider Demographics
NPI:1265867410
Name:ZEIGLER OPPORTUNITY HOMES
Entity Type:Organization
Organization Name:ZEIGLER OPPORTUNITY HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-972-3227
Mailing Address - Street 1:2409 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2945
Mailing Address - Country:US
Mailing Address - Phone:740-972-3227
Mailing Address - Fax:
Practice Address - Street 1:2409 STRATFORD RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2945
Practice Address - Country:US
Practice Address - Phone:740-972-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4800675251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4800675OtherDODD CONTRACT NUMBER